Paediatric Safeguarding Flashcards
What do we have responsibility to do?
Raise concerns about possible abuse/neglect of children and vulnerable adults
What is child protection?
Service where we protect specific children whoa re at risk of harm or suffering from significant harm
What are a Childs rights?
UN Childs rights:
- right to feel safe
- right to shelter
- right to feel respected
- right to good start in life
- right to know info about them
- right to have say in their life
- right to be protected from harm
SPRGKS
SO P REALLY GOT KL SL
Safe
protected
respected
good start in life
know info about themselves
say in life
What is GIRFEC?
National approach that involves health care professionals working together to promote, support and safeguard wellbeing of children and young people
What must we consider in terms of a child in relation to GIRFEC?
what is getting in way of Childs wellbeing
- thorough assessment
do I have everything I need to help this child/young person
- thorough assessment
what can I do to help this child?
- raise concerns with parent/carer, explain clinical findings and important of them and the impact on the child, tx needed and out expectations of attendance, prevention advice
what can my profession do?
- free toothpaste and toothbrush
offer advice and support
appts that suit - ask parents
what additional help may be needed?
- HV, school nurse, GP
- if escalating, child protection referral
Who are children most at risk?
Under 5 - haven’t had much contact with other adults (not yet at school)
Disability/Medical problem
Irregular attender
Parent substance misuse/addiction/mental health
What increase the risk to a child in terms of parent?
Parent alcohol issues
Parent drug issues
Parent learning disability
Parent domestic abuse
Parent suffered child abuse
Stages of intervention in terms of safeguarding?
- PREVENTATIVE DENTAL TEAM MANAGEEMNT
a. This is where ask parents if there is anything we can do to provide support, we offer advice and create plan tailored to needs of the family
b. Offer appointments that are suitable for them - PREVENTATIVE MULTI-AGENCY MANAGEMENT
a. This is where pt fails to attend after initial attempts, and we contact other HCPs such as school nurse, health visitor to ensure child with poor dental health receive tx necessary to meet clinical needs and reduce future caries risk - CHILD PROTECTION REFERRAL
a. This is where initial concerns continue or increasing, and situation is complex
b. We make a phone call to social services as per local guidelines and then follow this up with a letter
c. If immediate concern police
d. SHARED VIA SOCIAL WORK VIA TELEPHONE SHARED REFERRLAL FORM
e. CAN DISCUSS WITH MANAGER/SENIOR COLLEAGUES AND IF STILL CONCERNED THEN SOCIAL SERVICES CALL AND WRITING 48 HOURS AND SOCIAL WORK THEN ACKNOWLEDGE RECIPET OF REFERRAL AND DECIDE ON NEXT COURSE OF ACTION WITHIN ONE WORKING DAY AND WILL FEEDBACK TO REFERRER ON NEXT COURSE OF ACTION OR IF THERE IS NO SOCIAL SERVICE INVOLVEMENT REQUIRED
f. Talk to parent/child and explain concerns and inform them of our intent to refer and seek consent to sharing information
g. If we deem discussion with parent/child to put child or others at immediate risk or jeopardise police investigation then discuss with senior colleagues or if we seek consent and its withheld then consult senior colleagues
What is CAF?
CAF is a multi-agency response to a low level concern to assess and assist children and families to resolve issues and prevent escalation to more complex and serious concerns. This is a consensual process with the family and involves the practitioner who identifies the concern, completing a comprehensive assessment of the child and family needs in relation to the identified concern. CAFs are usually carried out by children’s practitioners who have received relevant training.
How do we assess abuse?
Observe
Record
Communicate
Refer
WE CANT DX ABUSE - DONE BY A PROFESSIONAL
What is dental neglect?
Persistant faire to meet Childs basic oral health needs - likely results in serious impairment of Childs or or general health development
What are causes for concern in terms od dental neglect?
- Severe untreated dental disease that is obvious to a lay person/non dental
- Dental disease that significantly impacts the child
- Failing to access tx for child:
o Irregular attendance
o Missed appointments
o Returning in pain repeatedly
o Requiring repeated GA - Unwashed skin and clothes
- Child small, failing to thrive, with no MH explanation
- Atypical child behaviour
- Repeated failure to engage with dental services
What are signs of non accidental injury?
- Injury not compatible with explanation given
- Child and parent story not adding up
- Other injuries at various stages of healing
- Delay in presentation
- Repeated attendance in pain
- Parent seems unconcerned
- General comments by child/parents that give welfare concerns
- I/O or E/O bruises and abrasions especially if multiple
- Injury in triangle of safety
- Injury not likely due to current age/development of child (if frenal injury in non-mobile child)
- Pinch, bite, or strangulation marks
- Bilateral injuries (unlikely to occur accidentally)
- Burn marks
- Head or facial injuries in non-mobile child
- Soft tissue injuries (bony injuries likely but injuries to cheeks, ears are suspicious)
What is SHANARRI
wellbeing indicators required for child to grow and develop and reach full potential:
SAFE (Safe from immediate harm/abuse, protected by parents/carers,living in safe and secure home, safe from bullying)
HEALTHY (healthy, balanced diet, weight within healthy limits, age appropriate physical development, parents/carers taking responsibility to ensure needs met)
ACHIEVING (targets met in school, attend school regularly, plays and works well with peers and independently)
NURTURED (basic needs met - food, shelter, clothing, loved and cared for, boundaries and supervision)
ACTIVE (exercise at home, school, physically fit and active, engages in play/sports)
RESPECTED (involved in decision making where appropriate, listen to and taken seriously, words with others to resolve conflict)
RESPONSIBLE (caring and considerate, behaves appropriately)
INCLUDED (listened to, views taken seriously, accepted as part of faily/frienda/community)
